A patient receiving tube feedings at 50 mL/hour has a residual volume of 250 mL of undigested tube feeding. What action should the nurse take?
a. Discard aspirated tube feeding, and run tube feeding as ordered by the physician.
b. Report amount of aspirated tube feeding to the RN for consultation with the physician.
c. Return aspirated tube feeding to the patient, and run feeding at a slower rate of 20 mL/hour.
d. Return aspirated tube feeding to the patient, and wait 2 hours before restarting tube feeding at 50 mL/hr.
ANS: B
As the residual amount is more than 100 mL or the amount specified by the agency or physician, the RN and the physician are notified, and the feeding will likely be stopped to prevent vomiting or aspiration. A. C. D. The nurse should not continue this tube feeding because of the risk of vomiting or aspiration.
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